Mothering Twins: First Year Insights
60 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What was the basic social psychological problem of mothering twins during the first year of life?

Life on hold

Which of the following are the phases mothers of twins progressed through to resume their lives? (Select all that apply)

  • Striving to reset (correct)
  • Pausing own life (correct)
  • Draining power (correct)
  • Resuming own life (correct)

    • What are the three conditions associated with the draining power phase?

    Unrelenting demands, vanishing time, torn between two

    What did mothers often describe the first 3 months of caring for twins as?

    <p>The blur period</p> Signup and view all the answers

    What is a critical strategy used by mothers of twins to survive the first year?

    <p>Establishing a routine</p> Signup and view all the answers

    Mothers of twins often had more time for themselves than mothers with single infants.

    <p>False</p> Signup and view all the answers

    Mothers needed to shift priorities to make the care of the twins number one, often leading to the _______ of house cleaning.

    <p>lowering</p> Signup and view all the answers

    What milestone often marked the beginning of mothers feeling more manageable after the birth of twins?

    <p>When the twins slept through the night</p> Signup and view all the answers

    What are two consequences mothers experienced as they began to resume their lives?

    <p>Reaping the blessings</p> Signup and view all the answers

    What is the basic social psychological problem mothers of twins experience during the first year of their twins' lives?

    <p>Life on hold</p> Signup and view all the answers

    What are the four stages mothers of twins progress through to resume their own lives?

    <p>Striving to reset</p> Signup and view all the answers

    What percentage of mothers experienced inadequate sleep while raising twins, according to a study in Taiwan?

    <p>49%</p> Signup and view all the answers

    What method was used to conduct this qualitative research?

    <p>Grounded theory</p> Signup and view all the answers

    The primary support for this research was obtained from the University of Connecticut Research Foundation.

    <p>True</p> Signup and view all the answers

    What did Holditch-Davis and Roberts (1999) report about mothers of multiples?

    <p>They felt guilt about their infants waiting for food.</p> Signup and view all the answers

    During what time frame is the most vulnerable period for mothers of twins?

    <p>The first 3 months postpartum</p> Signup and view all the answers

    What is one major source of stress for parents of twins identified in the studies?

    <p>Fatigue/lack of sleep</p> Signup and view all the answers

    Mothers of twins commonly expressed concern over lack of time.

    <p>True</p> Signup and view all the answers

    What was the mean age of the mothers interviewed in the study?

    <p>32</p> Signup and view all the answers

    What is 'maternal justice' as described by Anderson and Anderson (1990)?

    <p>The need to give each twin fair and equal attention.</p> Signup and view all the answers

    What is the term used to describe the need for mothers to treat twins equally?

    <p>Maternal justice</p> Signup and view all the answers

    What was identified as a source of stress for parents of twins by Williams and Medalie (1994)?

    <p>Loss of control over mobility.</p> Signup and view all the answers

    Which research model focuses on social interactions among individuals?

    <p>Symbolic interactionism</p> Signup and view all the answers

    The cornerstone of survival with twins during the first year of life is establishing a ______.

    <p>routine</p> Signup and view all the answers

    The percentage of mothers of multiples experiencing postpartum depression is lower than that of singletons.

    <p>False</p> Signup and view all the answers

    What coping method was most often used by mothers in Kaplan’s (1998) study?

    <p>Planful problem solving</p> Signup and view all the answers

    What do mothers of multiples need most according to Chang (1990)?

    <p>A sympathetic ear.</p> Signup and view all the answers

    Match the following authors with their key findings on parenting multiples:

    <p>Holditch-Davis &amp; Roberts = Mothers feel guilty and tied down Williams &amp; Medalie = Loss of control over time Kaplan = Planful problem solving as a coping method Chang = Need for understanding support</p> Signup and view all the answers

    What is the main focus of the ethnonursing study discussed?

    <p>Cultural experiences, patterns, and practices of American Indian women with polycystic ovary syndrome (PCOS).</p> Signup and view all the answers

    What are the three universal themes identified in the study?

    <p>Control of PCOS symptoms for cultural well-being</p> Signup and view all the answers

    The American Diabetes Association recognizes PCOS as a risk factor for type 1 diabetes.

    <p>False</p> Signup and view all the answers

    What does historical trauma refer to in the context of American Indian women?

    <p>The long-term impact of colonization, cultural suppression, and historical oppression.</p> Signup and view all the answers

    Polycystic ovary syndrome (PCOS) is a chronic, ______ disorder.

    <p>androgen-excess</p> Signup and view all the answers

    What were key informants in the study primarily interviewed about?

    <p>PCOS symptoms that mattered most to them</p> Signup and view all the answers

    What is the main focus of Rebecca Carron's study?

    <p>Baseline characteristics and effects of obesity in polycystic ovary syndrome.</p> Signup and view all the answers

    Which publication discussed the criteria and prevalence of polycystic ovary syndrome?

    <p>Fertility and Sterility</p> Signup and view all the answers

    Polycystic ovary syndrome is only a metabolic disorder.

    <p>False</p> Signup and view all the answers

    What is one of the major health challenges mentioned for American Indian women?

    <p>Insulin resistance and reproductive health issues.</p> Signup and view all the answers

    Match the following studies or articles with their main topics:

    <p>American Diabetes Association (2018) = Classification and diagnosis of diabetes Rotterdam ESHRE/ASRM = Diagnostic criteria related to polycystic ovary syndrome Haozous &amp; Neher (2015) = Best practices for clinical partnerships with Indigenous populations Tomlinson et al. (2017) = Diagnosis and lived experience of polycystic ovary syndrome</p> Signup and view all the answers

    What is required for a PCOS diagnosis according to the Rotterdam criteria?

    <p>All of the above</p> Signup and view all the answers

    Conditions that mimic PCOS such as thyroid disease need to be excluded for a PCOS diagnosis.

    <p>True</p> Signup and view all the answers

    What are the six qualitative criteria used by the research team to substantiate data?

    <p>Credibility, confirmability, meaning-in-context, recurrent patterning, saturation, and transferability</p> Signup and view all the answers

    The average body mass index of the key informants was _____ kg/m2.

    <p>37.68</p> Signup and view all the answers

    How many key informants in the study were trying to become pregnant?

    <p>6</p> Signup and view all the answers

    What were the three universal themes identified in the study?

    <p>Control of PCOS symptoms, culturally congruent PCOS education and health care, tribal culture and values influencing health care attitudes.</p> Signup and view all the answers

    Match the following themes with their corresponding patterns:

    <p>Theme 1: Control of PCOS symptoms = Patterns include frustration and loss of femininity Theme 2: Culturally congruent PCOS education = Patterns include lack of education and involvement in treatment options Theme 3: Tribal culture and values = Patterns include community awareness and traditional practices</p> Signup and view all the answers

    All key informants felt satisfied with the health care services they received for PCOS.

    <p>False</p> Signup and view all the answers

    One of the barriers for women with PCOS regarding social activities is irregular and _____ menses.

    <p>unpredictable</p> Signup and view all the answers

    What did key informants express frustration about regarding their diagnoses?

    <p>Delay in receiving a diagnosis due to providers misinterpreting symptoms.</p> Signup and view all the answers

    What were common self-management strategies for PCOS mentioned?

    <p>Diet and exercise</p> Signup and view all the answers

    What type of diet did a key informant refer to as beneficial for PCOS?

    <p>Traditional low-fat diet</p> Signup and view all the answers

    All key informants believed that support groups for women with PCOS would be helpful.

    <p>False</p> Signup and view all the answers

    What was a major issue mentioned by key informants related to weight management?

    <p>Eliminating soft drinks</p> Signup and view all the answers

    Which condition was mentioned as stigmatizing and affected by PCOS symptoms?

    <p>All of the above</p> Signup and view all the answers

    What did key informants want increased awareness about?

    <p>PCOS symptoms and treatment</p> Signup and view all the answers

    Key informants expressed the need for more ______ care options for PCOS.

    <p>tribal-specific</p> Signup and view all the answers

    All key informants strongly adhered to traditional health beliefs.

    <p>False</p> Signup and view all the answers

    What was one common tribal belief related to health conditions?

    <p>If it’s happening to my body, it’s meant to be.</p> Signup and view all the answers

    What substance did key informants struggle to eliminate from their diet?

    <p>Soft drinks</p> Signup and view all the answers

    Historical _________ trauma can influence health attitudes.

    <p>intergenerational</p> Signup and view all the answers

    Study Notes

    Releasing the Pause Button: Mothering Twins During the First Year of Life

    • Problem: Mothers of twins experience a "life on hold" feeling during the first year postpartum.
    • Process: Mothers use a four-stage process to "release the pause button:" (a) draining power, (b) pausing own life, (c) striving to reset, and (d) resuming own life.
    • Vulnerable Period: Initial 3 months postpartum is the most vulnerable for twin mothers.
    • Multiple Births Increase: Twin births have increased by 33% and triplet-plus births by 178% since the 1970s. In vitro fertilization contributes to this.
    • Nursing Challenges: Optimal care for high-risk multiple-birth families requires nurses to understand the unique problems and needs of these families.

    Review of the Literature

    • Qualitative Studies: Most studies focused on mothers of multiples were from outside the US, in France, Great Britain, Italy, Israel, Taiwan.
    • Issues: Ambivalence, dealing with unusual demands, and difficulty relating to multiple children.
    • Solutions: Practical time and energy saving measures, treatment of children equally, establishing egalitarian relationships, and developing standardized child care routines.
    • Problems Identified in Taiwan: Inadequate sleep (49%), lack of time for other children (43%), mood fluctuations (39%), marital relationship problems (22%), and financial strain (18%).
    • Focus on Specific Social Psychological Problems: Research on social psychological problems particular to twin mothers and the processes they use to resolve them.
    • US Studies: A survey of 104 mothers of twins found issues with daily household tasks (40+% experiencing difficulty) and sleep (64%).
    • Cross-cultural Concerns: Stress and depression can impact >25% of multiple-birth parents prenatally and postnatally. Factors include premature deliveries, sleep deprivation, social isolation, and constant demands.

    Method

    • Research Questions: Investigate the specific basic social psychological problem mothers of twins encounter during the first year after delivery, and the social-psychological process they use to address it.
    • Research Design: Grounded theory, using symbolic interactionism as a framework.
    • Participants: 16 married mothers of twins, ranging from 24 to 43 years, attending Parents of Multiples Group meetings; varying ethnicity and parity.
    • Data Collection: Combination of participant observation (at meetings and in the homes) and semi-structured interviews.
    • Data Analysis: Constant comparative method using substantive and theoretical coding.

    Results

    • Problem: Life on hold.
    • Process: Releasing the pause button (four phases): (a) Draining power, (b) pausing life, (c) striving to reset, (d) resuming life.
    • Strategies in Striving to Reset: Establishing a routine, shifting priorities, marshaling help, and problem solving.
    • Phase 1 (Draining Power): Mothers describe overwhelming demands, vanishing time, and feeling torn between the two babies.
    • Phase 2 (Pausing Own Life): Mothers experience a blurring of days, feeling confined, and a sense of self-surrender.
    • Phase 3 (Striving to Reset): Mothers adopt strategies such as establishing routines, seeking help, prioritizing tasks, and learning to solve problems creatively.
    • Phase 4 (Resuming Own Life): Mothers regain a sense of manageability and reap the blessings of mothering their twins as they get older.

    Discussion

    • Comparison with Previous Research: Research confirms the challenges of mothering multiples.
    • Theoretical Contribution: A comprehensive understanding of the process mothers utilize to adjust to the challenging dual parenting dynamic.
    • Implications: The research highlights the need for support and interventions, particularly in the most vulnerable period.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Mothering Twins During First Year - 2002 PDF
    Qualitative Article: Cultural Experiences of American Indian Women With PCOS - PDF

    Description

    Explore the unique challenges and experiences mothers face during the first year of life with twins. This quiz covers the four-stage process of adapting to life with multiples and insights from qualitative studies. Discover how nursing challenges and increased twin births impact maternal experiences.

    More Like This

    Twin Studies and Behavioral Genetics Quiz
    10 questions

    Twin Studies and Behavioral Genetics Quiz

    WellManagedViolet9966 avatar
    WellManagedViolet9966
    Twin Siblings Nam and Hồng
    20 questions

    Twin Siblings Nam and Hồng

    BhikkhuVisuddhamma avatar
    BhikkhuVisuddhamma
    Twin Peaks Menu Flashcards
    19 questions

    Twin Peaks Menu Flashcards

    SucceedingHexagon avatar
    SucceedingHexagon
    Multiple Gestation and Twin Classification
    40 questions

    Multiple Gestation and Twin Classification

    SelfSatisfactionHeliotrope9824 avatar
    SelfSatisfactionHeliotrope9824
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser